Managed Care

Helping healthcare organizations manage their unique risks

Managed Care

Berkley Accident and Health can help risk-taking healthcare organizations to adapt and thrive in an uncertain world. With our focused expertise in the rapidly changing healthcare landscape, we can design custom solutions for a wide range of clients.

Why Berkley

Our Managed Care coverage is backed by our superior claims service and the resources of a Fortune 500 company. Berkley Accident and Health is a member company of W. R. Berkley Corporation, which is one of the largest commercial lines writers in the U.S. Coverage is underwritten by Berkley Life and Health Insurance Company, rated A+ (Superior) by A.M. Best and selected as a Ward’s 50 top-performing insurer for safety and consistency.

Product Highlights

Provider Excess

Protects health care providers from the financial risks of capitation and other payment arrangements. Coverage is available for:

  • Hospitals
  • Health care facilities
  • Medical groups

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HMO Reinsurance

Protects managed care organizations from higher-than-expected claim costs. Coverage is available for:

  • Health Maintenance Organizations (HMOs)
  • Accountable Care Organizations (ACOs)
  • Managed care organizations that assume risk

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Clinical Risk Management Services

In addition to solid protection, our clients also receive support identifying and managing catastrophic claim costs. Through our clinical program, we provide in-house cost-containment services at no additional cost. We become an extension of your team with:

  • On-staff clinical resources
  • Support identifying and managing catastrophic claims, in order to control costs while preserving quality care
  • Access to specialty vendors

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Insurance coverage is underwritten by Berkley Life and Health Insurance Company and/or StarNet Insurance Company, both member companies of W. R. Berkley Corporation and both rated A+ (Superior) by A.M. Best. Not all products and services may be available in all jurisdictions, and the coverage provided is subject to the actual terms and conditions of the policies issued. Payment of claims under any insurance policy issued will only be made in full compliance with all United States economic or trade and sanction laws or regulation, including, but not limited to, sanctions, laws and regulations administered and enforced by the U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”).